Nursing homes › Washington › Bethany at Pacific
916 Pacific Avenue 3Rd-5Th Floors, Everett, WA 98201 · 4252595508 · 80 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Church related.
Total nurse staffing: 4.80 (Washington median: 4.15). RN hours: 1.12. Weekend total: 4.12. Nursing staff turnover: 37%.
All-time on record: 48 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-06-11 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2025-07-18 |
| 2025-04-21 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Health | corrected 2025-06-03 |
| 2025-04-21 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Respond appropriately to all alleged violations. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Health | corrected 2025-06-03 |
| 2025-04-21 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2025-06-03 |
| 2024-06-12 | Provide enough food/fluids to maintain a resident's health. | G | Health | corrected 2024-07-17 |
| 2024-06-12 | Provide and implement an infection prevention and control program. | F | complaint | corrected 2024-07-17 |
| 2024-06-12 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Health | corrected 2024-07-17 |
| 2024-06-12 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Health | corrected 2024-07-17 |
| 2024-06-12 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Health | corrected 2024-07-17 |
| 2024-06-12 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Health | corrected 2024-07-17 |
| 2024-06-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-07-17 |
| 2024-06-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-07-17 |
| 2024-06-12 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-07-17 |
| 2024-06-12 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Health | corrected 2024-07-17 |
| 2024-06-12 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Health | corrected 2024-07-17 |
| 2024-06-12 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-07-17 |
| 2024-06-12 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2024-07-17 |
| 2024-06-12 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-07-17 |
| 2024-06-12 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Health | corrected 2024-07-17 |
| 2024-06-12 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Health | corrected 2024-07-17 |
| 2024-05-16 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | complaint | corrected 2024-06-25 |
| 2024-05-16 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | complaint | corrected 2024-06-25 |
| 2024-05-16 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | complaint | corrected 2024-06-25 |
| 2024-04-17 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | complaint | corrected 2024-05-17 |
| 2024-04-17 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | complaint | corrected 2024-05-17 |
| 2024-04-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-05-17 |
| Date | Type | Amount |
|---|---|---|
| 2024-04-17 | Fine | $42,477 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| DEGROODT, PATRICIA | Corporate Director | Individual | NOT APPLICABLE | since 02/01/2023 |
| DOBLER, ROBERT | Corporate Director | Individual | NOT APPLICABLE | since 01/23/2025 |
| GAY, JEFF | Corporate Director | Individual | NOT APPLICABLE | since 04/27/2017 |
| IHLE, LOREN | Corporate Director | Individual | NOT APPLICABLE | since 01/23/2025 |
| JACOBSON, STEVEN | Corporate Director | Individual | NOT APPLICABLE | since 06/27/2018 |
| KNUDSON, VERONICA | Corporate Director | Individual | NOT APPLICABLE | since 01/23/2025 |
| KOENIG, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2007 |
| NESSE, JANICE | Corporate Director | Individual | NOT APPLICABLE | since 01/23/2025 |
| NICHOLSON, ERIC | Corporate Director | Individual | NOT APPLICABLE | since 10/26/2023 |
| ROHDE, TOM | Corporate Director | Individual | NOT APPLICABLE | since 06/07/2018 |
| SEYED ALIROTEH, MAHDIESADAT | Corporate Director | Individual | NOT APPLICABLE | since 04/04/2024 |
| STAVE, LAWRENCE | Corporate Director | Individual | NOT APPLICABLE | since 01/23/2025 |
| TIU, SUSAN | Corporate Director | Individual | NOT APPLICABLE | since 01/03/2019 |
| WALLIN, TERRI | Corporate Director | Individual | NOT APPLICABLE | since 07/23/2020 |
| SCRIVENS, JOSEPH | Corporate Officer | Individual | NOT APPLICABLE | since 12/06/2019 |
| BASADA, MARLITA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2024 |
| BAUGUESS, TRISTINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/25/2025 |
| MANN, HARPREET | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/25/2025 |
| SCRIVENS, JOSEPH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/06/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 505404. Corrections: data@carerecords.org.